Individual
DR. TERESA MARIA KUSPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
1200 S YORK ST, ELMHURST, IL 60126-5626
(331) 221-1000
Mailing address
10248 SOUTHWEST HWY APT 3D, CHICAGO RIDGE, IL 60415-1442
(708) 539-9939
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036.149764
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
036149764
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036149764
STATE LICENSE
IL
Enumeration date
04/21/2015
Last updated
09/20/2024
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